| NPI | 1437231586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART P TENGGREN President 805-577-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 45780) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2016-04-07 |